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5521. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 5: Determining Where to Focus Efforts to Improve Patient Experience Visit the AHRQ Website for…

5522. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prepare to leave the hospital. A Health Coach h…

5523. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prep…

5524. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - These charts were reviewed for the presence of denominator exclusions that were not present in claims … Of the 89 medical records received for chart review, 13 records (14.6 percent) were reviewed for IRR … Of the 89 charts that were reviewed, 33 (37.1 percent) were excluded based on clinical documentation … Rurality/Urbanicity Urbanicity was not available from the medical records reviewed for this study. … In total, 89 charts were reviewed; 56 (62.9 percent) met denominator criteria for this measure.

5525. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
      April 01, 2019 - In total, 191 charts were reviewed for the presence of denominator exclusions that were not present … Of the 191 medical records received for chart review, 30 records (15.7 percent) were reviewed for IRR … Of the 191 charts that were reviewed, 36 (18.8 percent) had clinical documentation of one of the five … Therefore, 81.2 percent (155 of 191) of the charts reviewed were in agreement with the administrative … In total, 191 charts were reviewed; 155 (81.2 percent) met denominator criteria for this measure.

5526. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - A “project scan,” in which the research team reviewed the literature and research on HAI prevention … were underway to reduce HAIs, but much of this work had not yet been well documented in the peer-reviewed … We interviewed multiple key informants at each site, ranging from 14 to 38 interviewees per site; reviewed … Additional information about this project can be found in both the peer-reviewed and trade literature

5527. Patient Safety Data Sharing and Protection from Legal Discovery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
      January 01, 2001 - could be made that a defendant could be required to disclose protected information if that defendant reviewed … including the committee members, physician reviewers, and other resident surgical trainees who were reviewed … peer review committee records did not lose their immunity from discovery simply because they were reviewed … waiver by all those protected by §1157—including committee members, physician reviewers, and physicians reviewed—must

5528. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - Fischer, et al.,10 reviewed incident reports from eight primary care clinics affiliated with an academic … Since all unexpected deaths and quality- related patient complaints were reviewed, this category was … In order to identify patterns of similar issues, cases for each individual were re- reviewed. … As mentioned above, cases are cross-referenced to individual providers and reviewed at time of recredentialing

5529. Tool: SSA (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
      January 01, 2017 - Results – Details in Annotated Bibliography Literature Review (Li Bassi, 2011)12 Literature review: Reviewed … PRO: Systematic review – This review did not specifically focus on HOB elevation, but reviewed use of … Three studies that evaluated comparative risks associated with semirecumbent positioning were reviewed

5530. Guide for Clinical Leaders: Calibrate Dx: A Resource To Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Clinical-Leaders-Guide.pdf
      September 01, 2022 - two or three clinicians who can meet regularly (e.g., monthly, quarterly) are ideal to discuss cases reviewed

5531. How to Use This Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
      July 01, 2018 - For this reason, surge facility plans and prearrangements must be reviewed periodically to ensure that … Timeframe: Once surge facility preparedness plans and arrangements are finalized, they should be reviewed

5532. G. Kaiser Permanente: Evolution of Data Collection on Race, Ethnicity, and Language Preference Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapg.html
      May 01, 2018 - The Code Sets are reviewed on an on-going basis primarily to ensure alignment with changing demographic … The Spoken/Written Language Code Sets are reviewed on an on-going basis primarily to ensure alignment

5533. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
      January 01, 2022 - The data were also reviewed for response biases (e.g., responding with the same answer for all positively

5534. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
      October 01, 2014 - panel underwent an external peer review process, and key findings will be disseminated broadly via peer-reviewed

5535. Two More E's and How to Spread | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
      May 01, 2013 - Unremitting belief in the preventability of blood stream infections Involvement of senior leaders who reviewed

5536. Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Hickner (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
      January 01, 2011 - patientsafetyculture/ 4 4 Medical Office SOPS • Same development steps as the hospital survey o Reviewed

5537. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/stacia_cohen.pdf
      March 17, 2015 - •Updates to the work plan and the annual evaluation are reviewed by the Quality Council quarterly.

5538. Care Coordination Measures Atlas Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas.html
      June 01, 2014 - We also thank users who reviewed the Atlas and provided feedback: Steve Clauser, Bruce Finke, David

5539. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Group C consisted of a separate random sub-sample (i.e., 24 records per site) of the records reviewed … in Group A that were reviewed again by primary and secondary reviewers external to each hospital (see … From the total sample of records reviewed, primary reviewers identified the same AEs 62 percent of the … Primary reviewers first reviewed the medical records looking for triggers and suspected AEs. … A team of external primary and secondary auditors with extensive trigger tool experience reviewed a

5540. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
      www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
      July 01, 2004 - system error, and has the following features: normalized inter-rater reliability; lower cost-per-chart reviewed … Each topic module and any associated adverse event rate data are reviewed at least annually by the TEP … public, the reliability of our abstraction process, and a comparative analysis of the cost-per- chart reviewed … review is implicit, we are able to compare per chart costs with the costs for each production chart reviewed … The return on this decision is high inter-rater reliability and a lower cost-per-chart reviewed than